Banking Solutions for MSOs
and Professional Corporations
Banking Solutions for MSOs and Professional Corporations
Banking Solutions for MSOs and Professional Corporations
Lemma was built natively for MSO-PC structures — multi-entity account hierarchies, consolidated dashboards, automated intercompany transfers, and entity-level reconciliation that traditional banks simply don't offer.
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Why MSO-PC Banking is Different
Why MSO-PC
Banking is Different
Separate Legal Entities
Each practice is a separate corporation with separate tax IDs, compliance obligations, and FDIC insurance needs. A single account cannot protect all entities.
Consolidated Reporting
You need to see cash flow across all entities simultaneously — total revenue, total expenses, consolidated balance sheet — while viewing each practice separately
Intercompany Transfers
MSOs sweep cash between entities for working capital, loan payments, or distributions. Manual transfers require multiple ACH transactions and reconciliation nightmares.
Regulatory Complexity
State healthcare laws, corporate practice of medicine restrictions, and payer agreements require separate accounting by entity. You can't run everything through one account.
FDIC Insurance Gaps
Standard FDIC coverage is $250K per depositor per bank. An MSO with $5M across 5 practices exceeds this limit. You need specialized structure to maintain full coverage.
Lemma solves all five.
MSO-PC native banking architecture — not a workaround.
Intercompany Transfers
MSOs sweep cash between entities for working capital, loan payments, or distributions. Manual transfers require multiple ACH transactions and reconciliation nightmares.
Lemma solves all five.
MSO-PC native banking architecture — not a workaround.
FDIC Insurance Gaps
Standard FDIC coverage is $250K per depositor per bank. An MSO with $5M across 5 practices exceeds this limit. You need specialized structure to maintain full coverage.
Lemma's MSO-PC Banking Architecture
Everything your practice needs,
none of what you don't.
Key Features for MSO-PC Organizations
Automated Intercompany Transfers
Each affiliated practice gets its own bank account number, ACH/wire routing, lockbox address, and FDIC insurance — all under one Lemma parent account.
Multi-Entity Account Structure
Each affiliated practice gets its own bank account number, ACH/wire routing, lockbox address, and FDIC insurance — all under one Lemma parent account.
Consolidated Dashboard
Your CFO sees total cash across all entities in real time. Drill down to any individual practice. No month-end waiting, no spreadsheet aggregation.
Entity-Level Reconciliation
Each practice gets separate lockbox, payment posting, and cash reconciliation. Consolidated reconciliation across all entities in one Lemma report.
Key Features for MSO-PC Organizations
FDIC Insurance Across Multiple Entities
Lemma's sweep network provides $10M+ FDIC coverage through relationships with multiple partner banks. Each entity account is separately insured. A 5-entity MSO with $2M per entity maintains full FDIC coverage.
Separate Payer Relationships by Practice
Some practices operate under different network agreements. Lemma routes payments to the correct entity's lockbox automatically — Medicare to Practice A, commercial to Practice B.
Corporate Compliance Documentation
Lemma generates entity-level reconciliation statements, proof of funds, corporate minutes, and intercompany transfer logs for healthcare regulatory compliance and state annual reports.
Flexible Cash Sweep Strategies
Configure how much cash each entity retains vs. sweeps to the parent. High-volume dental groups may need daily sweeps; specialist practices with variable revenue may prefer weekly.
Sub-Entity Accounting
For MSOs managing 3rd-party practices, Lemma allows management fees, service charges, and transfer pricing to flow between parent and subsidiary automatically.
What MSOs Pay Traditional Banks (And Shouldn't)
The true cost of traditional banking compounds across entities.
Here's what a 10-practice MSO is typically paying:
ACH Fees
10 practices × 150 payments/month × $0.35 = 1,500 transactions/month
10 practices × 150 payments/month × $0.35
= 1,500 transactions/month
$6,300/year
Lost interest income
$2M+ aggregate balance at 0.01% vs 1.75% APY
$2M+ aggregate balance at
0.01% vs 1.75% APY
$34,800/year difference
Total unnecessary cost
$41,100+/year
Wire transder
Multi-Entity
Account Structure
Multi-Entity Account Structure
Pay Vendors, labs, equipment and earn cashback up to 2.5%. Spend categorised in your account software
Each affiliated practice gets its own bank account number, ACH/wire routing, lockbox address, and FDIC insurance — all under one Lemma parent account.
Free ACH
Automated Intercompany
Transfers
Automated Intercompany
Transfers
Every dollar earns from day one, across every account. Sweep network protection up to $10M - not the standard $250K
Each affiliated practice gets its own bank account number, ACH/wire routing, lockbox address, and FDIC insurance — all under one Lemma parent account.
Each affiliated practice gets its own bank account number, ACH/wire routing, lockbox address, and FDIC insurance — all under one Lemma parent account.
1.75% interest
Consolidated
Dashboard
Consolidated Dashboard
Pay Vendors, labs, equipment and earn cashback up to 2.5%. Spend categorised in your account software
Your CFO sees total cash across all entities in real time. Drill down to any individual practice. No month-end waiting, no spreadsheet aggregation.
Lockbox
Entity-Level
Reconciliation
Entity-Level Reconciliation
Every dollar earns from day one, across every account. Sweep network protection up to $10M - not the standard $250K
Each practice gets separate lockbox, payment posting, and cash reconciliation. Consolidated reconciliation across all entities in one Lemma report.
The numbers
add up
Whether you're a solo therapist running a private practice or a multi-clinician behavioral health group, Lemma scales with you. Solo practitioners get the same professional banking infrastructure as larger groups — without minimum balance requirements or complex fee structures.
ACH fees
250 payments/month × $0.35 = $87.50/month
$1,050/year
Lost interest income
$150,000 balance at 0.01% vs 1.75% APY
$2,624/year difference
Total unnecessary cost
$3,674+/year
Separate Payer Relationships
by Practice
Some practices operate under different network agreements. Lemma routes payments to the correct entity's lockbox
automatically — Medicare to Practice A, commercial to Practice B.
FDIC Insurance Across
Multiple Entities
Lemma's sweep network provides $10M+ FDIC coverage through relationships with multiple partner banks. Each entity
account is separately insured. A 5-entity MSO with $2M per entity maintains full FDIC coverage.
Corporate Compliance
Documentation
Lemma generates entity-level reconciliation statements, proof of funds, corporate minutes, and intercompany transfer logs
for healthcare regulatory compliance and state annual reports.
Flexible Cash Sweep Strategies
Configure how much cash each entity retains vs. sweeps to the parent. High-volume dental groups may need daily
sweeps; specialist practices with variable revenue may prefer weekly.
Sub-Entity Accounting
For MSOs managing 3rd-party practices, Lemma allows management fees, service charges, and transfer pricing to flow
between parent and subsidiary automatically.
Lemma vs. Traditional Banks for MSOs
Lemma vs. Traditional Banks for MSOs
MSO banking isn't a workaround at Lemma — it's the core architecture.
Feature
Lemma
Traditional Bank
Standard Business
Multi-entity account structure
Native, purpose-built
Manual account
management
Not supported
Consolidated dashboard
Yes, real-time
Requires third-party
reporting
No
Automated intercompany
transfers
Yes, rule-based
Manual ACH each time
Manual only
Entity-level reconciliation
Yes, automated
Manual by account
Manual by account
FDIC coverage for 5 entities
$10M+ via sweep network
Limited (unclear coverage)
$250K per account
Medical lockbox per entity
Yes, separate
Add-on service
Unavailable
Payment posting per entity
Yes, automated
Manual if available
Manual
Setup time
5 minutes
2–4 weeks
2–4 weeks
Cost
Free (included)
Varies by institution
$500–3K monthly
Feature
Multi-entity account structure
Consolidated dashboard
Automated intercompany
transfers
Entity-level reconciliation
FDIC coverage for 5 entities
Medical lockbox per entity
Payment posting per entity
Setup time
Cost
Lemma
Native, purpose-built
Yes, real-time
Yes, rule-based
Yes, automated
$10M+ via sweep network
Yes, separate
Yes, automated
5 minutes
Free (included)
Traditional Bank
Manual account
management
Requires third-party
reporting
Manual ACH each time
Manual by account
Limited (unclear coverage)
Add-on service
Manual if available
2–4 weeks
Varies by institution
Standard Business
Not supported
No
Manual only
Manual by account
$250K per account
Unavailable
Manual
2–4 weeks
$500–3K monthly
Feature
Multi-entity account structure
Consolidated dashboard
Automated intercompany
transfers
Entity-level reconciliation
FDIC coverage for 5 entities
Medical lockbox per entity
Payment posting per entity
Setup time
Cost
Lemma
Native, purpose-built
Yes, real-time
Yes, rule-based
Yes, automated
$10M+ via sweep network
Yes, separate
Yes, automated
5 minutes
Free (included)
Traditional Bank
Manual account
management
Requires third-party
reporting
Manual ACH each time
Manual by account
Limited (unclear coverage)
Add-on service
Manual if available
2–4 weeks
Varies by institution
Standard Business
Not supported
No
Manual only
Manual by account
$250K per account
Unavailable
Manual
2–4 weeks
$500–3K monthly
FAQ
MSO-PC Banking
MSO-PC Banking
Can each practice use Lemma independently, or does it have to be centralized?
How does FDIC insurance work with multiple entities?
Can I automate intercompany transfers?
What if one practice has a different payer mix than another?
How does accounting work across entities?
Can I have different compliance/audit requirements per entity?
What happens to FDIC coverage if I exceed the sweep limits?
How long does it take to set up multi-entity banking?
Can each practice use Lemma independently, or does it have to be centralized?
How does FDIC insurance work with multiple entities?
Can I automate intercompany transfers?
What if one practice has a different payer mix than another?
How does accounting work across entities?
Can I have different compliance/audit requirements per entity?
What happens to FDIC coverage if I exceed the sweep limits?
How long does it take to set up multi-entity banking?
Can each practice use Lemma independently, or does it have to be centralized?
How does FDIC insurance work with multiple entities?
Can I automate intercompany transfers?
What if one practice has a different payer mix than another?
How does accounting work across entities?
Can I have different compliance/audit requirements per entity?
What happens to FDIC coverage if I exceed the sweep limits?
How long does it take to set up multi-entity banking?
Ready to modernize your
practice banking?
Open in minutes, no branch visit required
Free ACH – Lockbox – Wire transfers – 1.75% APY
Book a demo
Ready to modernize your
practice banking?
Open in minutes, no branch visit required
Free ACH – Lockbox – Wire transfers – 1.75% APY
Book a demo
Ready to modernize your practice banking?
Open in minutes, no branch visit required
Book a demo
Free ACH – Lockbox – Wire transfers – 1.75% APY
LEMMA.
Healthcare-native banking infrastructure for medical practices.
Lemma Technologies Inc.
STE 1735
535 Mission St, 14th Floor
San Francisco, CA 94105
SPECIALTIES
Lemma banking services are provided in partnership with Core Bank, Member FDIC. Deposits are FDIC insured up to $250,000 per depositor.
Lemma Technologies, Inc. is not a bank. Banking services are provided by Core Bank.
© 2026 Lemma Technologies, Inc. All rights reserved.
Banking services provided by partner banks, FDIC insured.
LEMMA.
Healthcare-native
banking infrastructure
for medical practices.
Lemma Technologies Inc.
STE 1735
535 Mission St, 14th Floor
San Francisco, CA 94105
SPECIALTIES
Lemma banking services are provided in partnership with Core Bank, MemberFDIC.
Deposits are FDIC insured up to $250,000 per depositor.
Lemma Technologies, Inc. is not a bank. Banking services are provided by Core Bank.
© 2026 Lemma Technologies, Inc. All rights reserved.
Banking services provided by partner banks, FDIC insured.
LEMMA.
Healthcare-native banking infrastructure for medical practices.
Lemma Technologies Inc.
STE 1735
535 Mission St, 14th Floor
San Francisco, CA 94105
SPECIALTIES
Lemma banking services are provided in partnership with Core Bank, Member FDIC. Deposits are FDIC insured up to $250,000 per depositor.
Lemma Technologies, Inc. is not a bank. Banking services are provided by Core Bank.
© 2026 Lemma Technologies, Inc. All rights reserved.
Banking services provided by partner banks, FDIC insured.